Active NPI
Lisa L Leishman, M.D.
- Ophthalmology Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 10408387-1205
- Practice address
- 4360 Washington Blvd
Ogden, UT 84403-1866 - Phone
- (801) 476-0494
- Fax
- (801) 479-3937
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD214276 | OR | |
| Ophthalmology Physician | 207W00000X | 10408387-1205 | UT | Primary |
Addresses
Primary practice location
4360 Washington Blvd
Ogden, UT 84403-1866
Mailing address
4360 Washington Blvd
Ogden, UT 84403-1866
Phone (801) 476-0494
Other practice location 1
214 W 1500 S Ste 300
Bountiful, UT 84010-7408
Phone (801) 476-0494
Other practice location 2
1972 W Grove Pkwy Ste 300
Pleasant Grove, UT 84062-6729
Phone (801) 476-0494
Other practice location 3
1025 E 3300 S
Millcreek, UT 84106-2849
Phone (801) 476-0494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OR, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Utah School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4360 Washington Blvd
Utah Eye Centers
Ogden, UT 84403-1866
Phone (801) 476-0494
748 State St
Medford, OR 97504-8473
Phone (541) 842-2020
Hospital & facility affiliations
- Asante Ashland Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10408387-1205 | UT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Multi-Specialty | Current | Accepting new patients |
| Cook County | Multi-Specialty | Current | Accepting new patients |
| Mt Ogden Eye Center LLC | Multi-Specialty | Current | Accepting new patients |
| Retina Care Center, LLC | Multi-Specialty | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Mt Ogden Eye Center LLC | Multi-Specialty | Current | Accepting new patients |
| Cataract & Lasik Center of Utah PC | Multi-Specialty | Past | Accepting new patients |
| Central Eye Care LTD | Multi-Specialty | Past | Accepting new patients |
| Cataract & Lasik Center of Utah PC | Past | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1236 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-8200
748 State St
Medford, OR 97504
Phone (541) 772-5282
214 W 1500 S
Ste 300
Bountiful, UT 84010
Phone (801) 261-0726
1025 E 3300 S
Ste B
Millcreek, UT 84106
Phone (801) 281-2020
1025 E 3300 S
Millcreek, UT 84106
Phone (801) 221-2020
4360 Washington Blvd
Ogden, UT 84403
Phone (801) 476-0494
1972 W Grove Pkwy
Ste 300
Pleasant Grove, UT 84062
Phone (801) 224-6767
Interoperability endpoints
- l.leishman@utaheye.imwdirect.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Ambulatory Surgical Clinic/Center
- Pleasant Grove, UT
- NPI 1164613790
-
- Ophthalmology Physician
- Pleasant Grove, UT
- NPI 1447378302
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1932467198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 WASHINGTON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031866",
"telephone_number": "801-476-0494",
"fax_number": "801-479-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 WASHINGTON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031866",
"telephone_number": "801-476-0494",
"fax_number": "801-479-3937"
}
],
"practiceLocations": [
{
"address_1": "214 W 1500 S Ste 300",
"address_purpose": "LOCATION",
"city": "Bountiful",
"state": "UT",
"postal_code": "840107408",
"country_code": "US",
"telephone_number": "801-476-0494",
"fax_number": "801-677-1144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1972 W Grove Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Pleasant Grove",
"state": "UT",
"postal_code": "840626729",
"country_code": "US",
"telephone_number": "801-476-0494",
"fax_number": "801-221-1052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 E 3300 S",
"address_purpose": "LOCATION",
"city": "Millcreek",
"state": "UT",
"postal_code": "841062849",
"country_code": "US",
"telephone_number": "801-476-0494",
"fax_number": "801-479-3937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEISHMAN",
"first_name": "LISA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OR",
"license": "MD214276",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "UT",
"license": "10408387-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.